Giant Warthin’s Tumour of the Parotid Gland: A Rare Case Report

Salaria, Neha; Garg, Uma; Kumar, Surender; Verma, Deepak Kumar; Sharma, Naveen; Singh, K. Sampath Kumar

doi:10.1007/s12070-019-01675-1

Cited by 2 publications

(10 citation statements)

References 14 publications

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“…As a result of the slow growth rate and high incidence of incidental diagnosis, deforming bulky WT are rare, tumor size varying from a few millimeters to a few centimeters, with an average of 2 to 4 cm in diameter [5]. Our research into the literature found only one case presentation similar to the one we are presenting, Salaria et al [13], describing a massive disfiguring Warthin tumor measuring up to 20 cm, being the largest Warthin's tumor described.…”

Section: Discussionmentioning

confidence: 58%

“…These results are supported by a review on cytopathology and diagnostics of WT [5], reporting a low rate of false positive results (<3.3%). Even though reporting a positive predictive value (PPV) over 96% for FNAB, some authors [13,17] advocate that the prevalence of multifocal lesions and imperfect specificity and sensitivity are arguments against its use. Another argument opposing FNAB in our case is the fact that atypical cases are more difficult to diagnose cytologically [13].…”

Section: Discussionmentioning

confidence: 99%

“…Even though reporting a positive predictive value (PPV) over 96% for FNAB, some authors [13,17] advocate that the prevalence of multifocal lesions and imperfect specificity and sensitivity are arguments against its use. Another argument opposing FNAB in our case is the fact that atypical cases are more difficult to diagnose cytologically [13]. An alternative to FNAB was open biopsy, however it has been largely abandoned due to the risk of tumor spillage, nerve damage and salivary fistula formation [16].…”

Section: Discussionmentioning

confidence: 99%

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Unilateral Deforming Warthin’s Tumor: Case Report and Literature Review

et al. 2020

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Warthin’s tumor (WT) is the second most common benign tumor of the parotid gland. Located almost exclusively in the parotid gland and presenting a slow growth rate, WT usually does not exceed 4 cm and rarely benefits from early surgical treatment. The aim of this paper is to present a case of giant parotid Warthin’s tumor. The occurrence of large and deforming WT is rare, previous research showed a single similar reported case. The patient’s computed tomography scans showed a solid and cystic 15 × 13 cm2 mass of the parotid gland, without visible signs of invading the adjacent structures. Superficial parotidectomy with tumor excision was performed, with preservation of glandular and facial nerve functions. The paper also presents a brief literature review addressing the main controversies regarding etiopathology, epidemiology, diagnostic methods and treatment options for this parotid gland tumor.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Unilateral Deforming Warthin’s Tumor: Case Report and Literature Review

et al. 2020

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“…The size of PG tumors varies from a few millimeters to several centimeters and is about 2-6 cm on average [ 3 - 5 ]. The size of reported cases of giant WT was found to be smaller than PA. WT up to 8 cm is reported in the literature, with only one tumor of 20 cm size [ 1 ]. Therefore, with a size of 10 cm, our case is the second-largest WT reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…Pleomorphic adenoma (PA) is the most common salivary gland tumor (70%), followed by Warthin’s tumor (WT) (6%-10%) [ 1 ]. The parotid gland (PG) is the most common site of salivary gland tumors [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Colossal Parotid Tumors: A Diagnostic and Surgical Challenge

Jain¹,

Sudharshan²,

Vijayakumar³

et al. 2021

Cureus

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Tumors of the salivary glands constitute 3% of all head and neck tumors. The parotid gland (PG) is the most common site involved in 85% of cases. PG tumors' size varies from a few millimeters to several centimeters and is about 2-6 cm on average. However, because of insidious growth and asymptomatic nature, untreated tumors of the PG can attain large size. Pleomorphic adenoma (PA), as large as 33 cm in size or 26.5 kg in weight, has been reported in the literature. Similarly, untreated Warthin’s tumor (WT) rarely becomes giant, size up to 20 cm is reported. Giant PG tumors are commonly symptomatic and have a rare tendency to become malignant. We are reporting two giant PG tumors with different histopathological diagnoses, PA and WT of size 15x15 cm and 10x8 cm, respectively. Therefore, with a size of 10 cm, our case is the second-largest WT reported in the literature. Both the giant PG tumors were present for 15-20 years, and mild pain and discomfort were the only symptoms. We had the differential preoperative tissue diagnosis in fine-needle aspiration cytology (FNAC) because of varying consistency. Contrast-enhanced computed tomography (CECT) and magnetic resonance imaging (MRI) of the neck were done for these cases for preoperative planning. Compared to the former, the latter was more informative about nerve involvement preoperatively. Both the patients underwent superficial parotidectomy, and meticulous dissection was done to identify and safeguard the facial nerve and its branches. We had a challenge in closing the flaps, which was achieved with an acceptable cosmetic outcome. Both the patients were discharged in stable condition with minimal facial nerve weakness.

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Giant Warthin’s Tumour of the Parotid Gland: A Rare Case Report

Cited by 2 publications

References 14 publications

Unilateral Deforming Warthin’s Tumor: Case Report and Literature Review

Unilateral Deforming Warthin’s Tumor: Case Report and Literature Review

Colossal Parotid Tumors: A Diagnostic and Surgical Challenge

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